ALYSSA KALSBEEK MD
NPI 1972290369
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 18, 2023PECOS Enrolled
5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637(773) 702-1000(773) 834-0748 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2024, Apr 11, 2024 (2 updates tracked since 2024).

About Alyssa Kalsbeek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA KALSBEEK MD (NPI 1972290369) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972290369
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA KALSBEEKCredential: MD
Location Address5841 S MARYLAND AVE # MC8016Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Fax(773) 834-0748
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
NPI 1972290369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC8016, Chicago, IL 60637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Kalsbeek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics (Pediatric Infectious Diseases)
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637
Pediatrics
5841 S MARYLAND AVE # MC8016
CHICAGO, IL 60637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972290369, enumerated as an "individual" on April 18, 2023.

The provider is located at 5841 S MARYLAND AVE # MC8016 CHICAGO, IL 60637 and the phone number is (773) 702-1000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.